Provider Demographics
NPI:1609196120
Name:BILAL SARVAT MD PA
Entity Type:Organization
Organization Name:BILAL SARVAT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SARVAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-648-1838
Mailing Address - Street 1:PO BOX 891628
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-1628
Mailing Address - Country:US
Mailing Address - Phone:281-648-1838
Mailing Address - Fax:281-648-1141
Practice Address - Street 1:2103 N CENTURY CT
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5567
Practice Address - Country:US
Practice Address - Phone:281-648-1838
Practice Address - Fax:281-648-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5483207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB 107468Medicare PIN
TXTXB 107470Medicare PIN